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AF - 43495r, � n City of Fridley, Minn. BUILDING PERMIT ��: 1�OVEI�ER 15, 1965 N° 8600 p�,: HAEEL 0'BRIEN' g�r HYD1tOTEX SYSTEMS p� 1080 Gardent Aveuue lrT. B. A�� 1937 University Avenue Fridley, Minnesota 55421 St. P$ul, Minneso�a LOCATION OF BUILDING Na „_ 1080 g� ,_ Gardena Avnnue �_ p� ��t � 41 ___ g� 4 �� 5�� _�Parkview i�nor Corner Lot ___.__..._._.._ Ir�ide Lot ._..__ Setback ._._......_..._._.__._._ Sideyard _._._._._.�_._._.__....�..._____.__.— 3ewer Ele�vat[an �—.._. _... Foundation Elevation _ DESCRIPTION OP BUILDING To be Used as: BASffi�PT REPAII��,ont Depth Height ._._ Sq. Ft. Cu. Ft Front � Depth Height Sq. Ft � Cu. P't. 7�►pe o! Coe�structlo�a Mas onr.Y_._.._.__.. Est Coat .r_.�? 00. 00._.._.._.... To be Compieted _..._._._. _..._._.__ Ia 000ddentlo� o! the issuaaoe to me o! a permit to a tbs p��oQored vvo�lc in acoordaaoe vvith the deacripban above o�dinaiuxs o� tl�e d�y of PYidky. Iu oomddssatian ai ti�e p�ymeat o! a!ae o! a�...0.0,.. , e buildin� abo�ve I a�+ee to do aad in vvlth af 1 p�o�vlsi�ns a! ,._,,, ., .►n : �rw�►:�y�� to 000struct the buildtag or additiaa as dacribed abo�ve. This�rmi t is �raated upon the expre� aonditloa that theperson to whom it L granted and his a�enb, ennplo�y� and � in all work. dane in, arouad aad upon raid buildlnQ� or auyp� thereol. ahall oonlarm ia all rMpects to the o�'dinaaoe� at Frldley�� Mlnaerota locatiaq ed��ntctfoq atterattaq mainte�usfle, repair aad movin� � �►l� dty ]imib� permit my► be ra�voked at aqy time upon vioae�tlan o! atq► o! tiys p�ovi;iaos ��u d ALLEN G. JEftS� B�i � � tw �NwN r... .tl ..w. 16. e..Mw.Ne., �.M.M.w. �.. wMra r�. �w �MM. ••w.. .' wN... �. .rn. +e ... �M MN� I��MeNe ��rM� w� hr f� M�r. APPL�..�ATIO� FOR BUII.DING PBiti4IT CITY Oi� 1�RII�.LY� MiD1NBSOTA OWNER'S NAM6 Hazel 0'$rien gUILDIlR Aydrotez Systems. AbDRESS 1080 Gardena Drive Fridlev. �Iinn ADDRESS 1937 Univ. Ave. St. Paul N0. LOT BLOCR LOCATI�1 OF BUILDING CORNER LOT' INSIDE LOT SETBACR SIDE-YARD - _...-,_ SEWSR ELEVATIdN FOUNDATION ELEVATIQN Applicant attach to this form Two Certificates of Survey of Lot and propoaed' building location drawn on these Certificates. DESCRIPTION OF BUiLDIPG To be used as; Basement Re�$ir Front Depth Height Sq. Ft. Cu. Ft.� Front Depth�T Height Sq. Ft. Cu. Ft. Type of Construction Estimated Coet , y��a_ To be completed ^ On or Before Dece�ber 31st 1�5 The undersigned hereby makea application for a permit for the work herein epecified, agreeing to do'all work in stxict accordance with the City of Fridley Ordinancea and ruliags of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. `� DATE_ NnvPml�Pr d_ 1qG,�, SIGNATURE t /�� ., ��, (Schedule of Fee Costs can be found on t e Reverse Side). �, � . . r'1 �'1 .6 'J � . � . �� BIIILD�iG P8R'MIT FEE SCHEDULB SSCTION 2. The Inspector of Buildings shall, before iseuing any peranit for the'� erection of any building or structure;�or for at�y'addition to any existing building or structure, ar for �ny alterations or repairs.to any'existing building or structure, upon application therefore, require the'payment by the, applicant for such permi_t. of.fees�to the amount herein below_set fQrth and in the manner herein provided tct-wit; 2._1., For any su�h permit for the erection of any fire-proof building, othei than a uae, factorp or grain elevator, or for the erecCion - - for similar xcupancy, to any eaisting building, 40.-#,or. each, oc�e thousand cubic feet, or fraction ents._-_ _ _ 2.2 For any such permit for the erection of any fire-proof garage, , wsreho�ae, factory or grain elevator, or far the erection of any fire-proof addition, for similar,.nccupaaCy,, Co any exieting building shall be at the rate of $i.?5�for each one th�sand.cubic feet, classified as "fireproof" by Section 502 0£ ,t,he Miuneapolis Buildittg Code. 80IISES 2.3. For any auch permit for.,.the.erection of any aon-fireproof� building, other than a garage, warehouse, factory or grain elevator, or any noa-fireproof addition, for similar occupancy, to any existing buij.din� r permit $1.00 for each one thousand cubic feet. GARAGE3 ' .. _..._ __.._ . . _ . 2.4. For aay such permit-for the erection of any non•fireproof g�rage, warehouse, factory or graia elevatori or for the exection of any non-fire-proof addition, for simil�r-occupancq, ta any e$ieting bulldiag or for each such � " building or addition - uirietq cents ($0.90� for each one thous.and cubic feet or fraction-thereaf; ia�the cubical contents thereof with the minimum of $4.00. For the purpase of-computing fees for buil�ding permits, the cubical contents of any buirding or a�ditioti to a uaiform �g� thro�ou�� bp mtrit�pYqfng ; thr�. ground area-aover�d from-a point��six (6) fnchea b�low� tha fraor Itt��° of the . . basement or cellar to ttie�average he#ght..of the upper surface or to the average height of the roQf surfaae of the main gab�e of a�pitched roof. . . 2.5. For repairs'or.:�alterati�ons to an existing;etructure, the fee shall be at the rate o£°.$3.,OQ per �ach,Five Huadred Dollars ($500,00) or fraction thereof in the cost ,�f;all:.propoeed work. �` �_ 2_6_ In ao c,ass ehall the fee charged for any permit as �set fo�th �.n Sect�on 2 be lesa t1�au $�4.00. " ,. . _ .. STORM REPAIR DAMAGE FEES: Residential; Commercial� F— � 8atimated Cost of work up to SSf;�.�0 -$5.�a Estimated Cost of w�r� ove: Y'�=��:.��J - y�G,i30 .,-.- .,..�. Esti.�a.�Pd�st of. wr.+rk up t�o �:c��,)=i.'0 -$1G�it� Estim:ste3 �st of WOIiC over �SCu.UO -$:t��_.1 �,�, � � � ; D � � N � � � L°. � N � f�D tn !A � p � O � x r�� y x x � � r � � y y Y O � ►+ "" y � � O x�m'� Nl M H Q y�� .,,��' : � 0 � � �. « � � � � � b0 G) '� y 'j '��d � a r' � x a �� w�o� � � � �� c c�o °� � �'l N 'd p ►� � .VMi c� o � � U1 � � pa � y � $y �� y H : : A � : : � $ : . '. . � : . . . � ' � � ': � � : � x e k k k 0 bP &i � � 8 � s �, �� yo d� A b n �e W H 0 � w � o "� p � � �F�D a a t�+ � � � 0 � 8 � � y � R. � 0 r a� � � x °c � M I w oa �'' °.= � � �' �� O .� � o � � m � (D A �: � �: � � � ►�f O � � 8 � � �x o ° O � � � a � � � � � � c� o � � . O � � Q � � � b � O 'b � � w w � � iz a. 0 0 m w M F� 'rd fed x� ° � � � M H Y � � m N � '° x � '! R° y r � � �+ �� . � o � 0 y ro � x � � � wWOo 8 $ $ S �� a y � m 8 � bj n �. � a�a �"� R R O m � z 0 � � � � m 0 b � �. M � � � � x y ti• � � tA Vl � �i � � � � � � ��'�"� � � po m� a R° 9d 0 0 � � � O � t� � � �, $ � Ot S� . y� O a � : G •. � o : : � 8 0 . : � o . . . � o . . : � � W��wo $ $ 8 S 8 �� ¢ a � w o K �, .. � � a�n 0 i � � � n V` � � � � � c� C b b 'b° '" u� y � � �' N � � � � � � y � a � � � � e o ` �. R° �y 0 o d ?d � I � � � � $ ."T' �% . y a ° � � a �" . c� . �•°C: : Op o . . O : : : &9 W��o soss� � � 0 � mwy A a.a� � ��:°H 0 � ;,. �, � � y�� w pM�� a �� y � � f�.Dy o�a °� y v � rt � O � A� Q.''�' lD .~-� O y Q•.� fD A1 ."3 C1 "`� e� yMyW r�i � b �� A7 � a �� M � r. � oy�� °'o �a�� . � ¢, o � m`��s � a�� 3 � x •.. r. �yf�Dy �� (i �� 8 ~�M � �'rYi fD � M � �r� �'�j f) fD ��G' . D � � i D � m � 2 m C m � � � � x � O � W � � � � � � O � � D � � o � �; �. 0 �, _ � � ��. rt 3 � a o� 0.� � � e� � � g T• � � � � �• � � � sue�ecr P N O. City of Fridley �$ 9 9 � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � CEIPT NO. � • COMMUNITY DEVELOPMENT DIV. ' � v------� r � � PROTECTIVE INSPECTION SEC. a 1 . , 1 ' � �'�'1 � CITY HALL FRIOLEV 55432 NUMBER REV. DATE PAGE OF APPqOVED BY �---•� • •�� 612-571-3450 910-F15 6/3/8� � � JOB ADDRESS 1080 Gardena Avenue N. E. 1 �EGAL LOT NO. BLOCK THACT OR ADDITION SEE ATTACHEO DESCR. t�l t� P$1"�CVleW' Md�1Ar SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Hazel Obrien 1080 G�rdena Avenue N.E. 571--382� 3 CONTRACTOR MAIIADDRESS ZIP PHONE LICENSENO. D& D Home I�n rovement Inc. 7401 Central Avenue N.E. 784-7543 4 AHCHITECT OR OESIGNER MAIL ADDRESS ZIP PHONE UCENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION ❑ REPAIR ❑ MOVE O REMOVE X B DESCRIBE WORK Reroof Dwelli (21 S' axes:� 9 CHANGE pF USE FROM TO STIPULATIONS SEPARATE PERMITS AFiE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OH IF CONSTRUCTION OR WORK IS SUSPENDEO OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE REAO AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. AlL PROVISIONS OF LAWS VALUATION SUpTAX ANO,ORDINANCES GOVEHNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1 / QSO $. S3 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEI THE pERM1T fEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- TqUCTION OR THE PERFORMANCE OF CONSTRUCTION. S�-�.00 f ,��,, � PLAN CHECK FEE TOTAL FEE /L�� C�G�/v ��._�� $19, 53 SIGNATUAEOFCONiRACT0A0RAUTNOA�ZEDAGENT IDATEI WHEN PROPERLY V LI TED THIS IS V�ERMIT SiGNATURE OF OWNER ��F OWNER BUILDERI IDATEI BLDG �NSP OT NEW [ l City of Fridley Effective 4/1/84 ADDN. [ J � R-1 AND R-2 ( pLTER. QC] Building Permit Applieation Construction Address: I_��O � r��n a �(V�' Legal Description: � Owner Name & Address : � � r � 'e n Tel . # ^ .� � Contractor: 1� �� J�D/1"►e `�"✓11 ��PmPnf T�►� � Tel. � g-1�7�3 Address :_�� Pn �-f a, a U C� /I�L= F(� � cQ� e� LIVING AREA: GARAGE AREA: DECR AREA: OTHER: Attaeh to this applieation, a Certificate of Survey of the lot, with the proposed construetion draWn on it to scale. Length Length Length DESCRIPTIOA OF IMPROYEMENT Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground � Sq. Ft. ( .� / S � Corner Lot [] Inside Lot [)Q Ft. Yd. Setbaek Side Yard Setback Type of Construction: /Z e- �/l �h°5�'e "' //�a��' Estimated Cost: $�� S� Approx. Completion Date: %—�= � � � � �• Alt. A Alt B Proposed Driveway Width If Nex Opening Is Desired: $ $ See Back Page for Explanation DATE: ��—� APPLICANT: �.,�e ��1'Y✓ Tel. # `7 - sy3 Permit Fee Plan Check State Sureharge SAC Charge Park Fee SeWer Main Charge to�r�u. STIPULATIONS: ; /� CITY QSE ONLY � �900 $ $ �� $ $ $ � J � �� Fee Sehedule on Reverse Side 25� of Building Permit Fee �.50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] � , _,� .., BDILDING PBRMIT FEE SCHBDOLE The Chief Building Official shall, before issuing permits for-the erection of any building or structure,-or for any addition to any existing building or strueture, or for any alteration or repair to any existing building or structure, upon applicatio n therefore, require the payment by the applicant for sueh permit of fees to the amount herein beloW set forth•and in the manner herein provided to-Wit: Total Valuation s1.00 to �500.00 �501.00 to �2,000.00 Feea �10.00 (Minimum Fee is �15.00) $10.00 for the first �500 plus $1.50 for each additional �100 or fraction thereof, to and including �2,000. �2�001.00 to �25,000.00 $32.50 for the first $2,p00 plus $6.00 for each additional �1,000 or fraction thereof, to and including $25,000. �25,001.00 to �50,000.00 550,001.00 to $100,000.00 �100,001.00 and up $170.50 for the first additional �1,000 or ineluding $50,000. �283•00 for the first additional � 1 , 000 or including $100,000. a25,000 plus �4.50 for each fraction thereof, to and �50,000 plus $3.00 for each fraction thereof, to and �u33•00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof. DRIVEiTAY DEPRESSION ESCROiT (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway Width plus 6 feet times $13.50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach With 6 inch depth - Driveway width plus 6 feet times $15•75 VERIFICATION OF FOUNDATION Permits for construction Will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A CertiPicate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding Hith the framing. _ ,... .r-... � � m � c � � o � �- � T � m m 1�.� � � � � 0 u m �o . � -n z ,� � o � � � m � � 1 o � o d `A 1� \� �v D � W � � � � � � � n � � o z � � � � � � m � o � � � �� ,�' � v, H m m m�� f� a� o N � v � � �T -� vT �' o �, � T � � • O � � Z .L 1 y � � �i v � � i� N� I77 •A-�+ � � � N� � � n (p y � � 7 � � � N .�► .+ � �D � W tD � (D • C� � > � (D (D � z. � � fA, y m M o D T < I I� 3 0► �� Z �t p c° � � � v � � � ' � fR A� 'p .�x. � GJ � N � j Tl � �o -°o �o � � '� � 37 0 � � � � � � �D m a a Qv � m � � � D � v `° � � � D_��11111{li� � Z � c�i� � O 0 o`� �� - A �D m�� v � � C v o m � � ° Z L� n � � � .D Z , �{ v r C � W Z fii '17 X C � ' m � D � m � Z O � En t� t� 4s � EA tfl ts (� t� t� � �. O O O v O V V V V dt A�l m 0 0 0 o p o o.o 0 0 0. o 0 0 0 0 0 0 0 0 0 0 0 0 � O � � N =.• � m � a n 0 N .y v m � � -i z O � � � C N m a N � a � � � � 'a � 3 a.a m m � m c �, c � � � ' Q m � y N � N � � O � �Q � S � ? j Q. � N W � � � o -. m Q � � � � � o � � a m �_ � � . �, < � --�-, � w �. � � N o m �, � ��_ �' -o �, � � - �°- � � o ....- � Q � � �' s c� o o � o � � m n -•, �, ,� a ° � a m °' c c�Di o m. � � � � � m � � V" �- � � o � ?��, �` .o � m � JV � � n � � � �:�.� m o � �m� �. � 1 � � ' J � �� (Ai � O � D v v � m � � V � � � � � n N Q W -j ( (D � "�� J4i � C � � 7 "T) < � Z. �. � A � � N � � � Z z m � n � O z v < � D � � Z c � m � 0 � X � � m � O m z "'i � r - r m v O Z. � _ � r O O � 0 � 1' \ wA\\ � \ � m a < � O � � 7 � z � � GJ SUBJECT City of Fridley � � � � 9 � AT THE TOP OF THE TWINS g � I L D I N G P E R M I T � � RECEIPT NO. � COMMUNITY DEVELOPMENT DIV. p ' j L-�'��', l'/ r � � PROTECTIVE INSPECTION SEC. � � � ( � �'��1 � CITV HALL FRIDLE� SSO.�2 NUMBER REV DATE PAGE O� APPROVED B� �""�"� ��' 612-571-3450 9�0-Ft5 11/10/94 / / JOB ADDRESS 1080 Gardena Avenue NE 1 IEGAL LOT NO. BLOCK TRACT OR AODITION SEE ATTACMED DESCR. /�1 4 Parkview Manor SHEET 2 PROPEFlTY OWNER MAII ADORESS ZIP PHONE Jeanne Whitehill 1080 Gardena Avenue NE 571-7013 3 CONTRACTOR MAIL ADORESS ZIP PHONE LICENSE NO Same 4 AFCHITECT OR DESIGNER MAIL AODRESS ZIP PHONE LICENSE NO. 5 ENGtNEER MAII AODRESS ZIP PHONE UCENSE NO. 6 USE OF BUILDING Residential 7 CIASS OF WOHK O NEW ❑ ADOITION O ALTERATION O REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Install bathroom walls• sheetrock exterior basement walls• e ress window 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PIUMBING, HEATING, VENTILATING OR Alii CONOITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SO. fT. CU. FT. AUTHOfiIZED IS NOT COMMENCEO WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OFi ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. N0. DWLG. UNITS OFfSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION STA�LS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK WI�L BE COMPLIED WITH WHETHER SPECIFIEO HEREIN Oii NOT. THE GRANTING OF A PERMIT S OOO �Z.SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CMARGE PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATtNG CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �%L.00 Fire SC �S.00 PLAN CHECKFEE TOTA�FEE 79.50 S�GNATUR OF ON'RACtOROAAUTHOA�ZEDAGENT IDATE� MEN PqOPER� VALIOATED THIS IS YOUR PERMIT 1 I (U �1 r /, � //-/�'-� S�G� AT FlEOF OWNERiif OWNE BU�LDERI I ATEI BLD �NSP r�ti7E _ f � rrfiw ADDN ALTER �� {] �� CITY OF FRIDLEY SiNGLE FAMILY AND DUPLEXES R-1 AND R-Z Btiildiug Permit Application Effective 1/i/94 . , � ConstructionAddress: � ��b E5-ar��1a .�e-� u_e ll�� Le�l �escription: , Owner Name & Address: �Q�v�� l,li��l.l Tel. #�(%�� .3 �S?��7o%3 Contractor: � i�%�1 �;1 MN LICENSE # Address: Tel. � Aqach to dus application, a Certificate of Survey of the lot, with the proposed constrvction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. � DECK AREA: Length Width Hgt/Gtound Sq. Ft. , OTHER: I U�Si(� � S. S(�pp �-(OC�� Pr� r �`ov'�'l:S�?.-r�P,c,.�- U.�S �,G�fp�� t,0 i �'l Ou� Cornex Lot I] inside I.ot j]. Ft. Yd Setb�Ck Side Yaard Setbacks Type of Consbruction: Fstimated Cost: $� Op(� ,°—U Approa. Completion Dabe: - .. . ''(Cost on Ba�k) �. . , Driveway Carb C�ut Width Needed: Ft. + 6 Ft = Ft a S –$ DATE: 10 AFPLICANT. c�t� Tel. # –?d 13 � ��l � �f �?3 . Pamit Fee . Fire Surcharge � State Snrcharge ` : SAC Ci�urge Lic�se Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPUL�ATIONS: S',ITY U4'� ONLY , $%; ,`� Fee. Schedule on Reverse Side . $ � d> ..001 of Permit Valuation (1/lOth96) � .�. '`i'd S.5(NS1,000 Valuatioa ,� . $ - �00 peA' SAC Iinit : $ 55.00 (Sffite Licensed Residenti�l Contractors) $ Alt. "A" ar Ah. "B" Above $ 5450.00 Conservation Plan Review $ Fee Detennined by Engineer�ag $ Agreemeot Nacessary ( j Na Necessary [] $�_�4 .r � . I3UiLD[NG PERMIT FEE SCHEDULE Z'f�e Ci�ief [3uilding Ofiicial shali, t�efore issuing petmits for the erc�tion of any buitding or structure, or For any addition to any cxisting building or staucture, or foc any alteraiion or repair to any existing t�uilding or stiuclure, upon aPPl�cation therefore, require the paymertt by the appiicant for such permit of fccs to the amount hercin below sei forth and in the manner herein provid«i to-wit: TOTAL VALUE $ i to $S00 $SOl to $2,000 $2,001 to $25,000 $25;001 to $50,000 � $50,001 to $100,000 : r•cEs $15 (Minimum Fee is S15 p(us surcharge) � 15 for first g5pp p(us S2 for each additionai $100 or frac�ion thereof, to and including $2,000 - $45 for frst $2,ppp pius $9 for each additional $1;0U0 or fraction �reof, to and incluifing $25,000 � $252 for fust $25,ppp ples $6.50 for eacb additional $1;000 or frac�ion th�eof, tA. and including $50,000 -- $414_SO for fust $50,000 plus $4S0 for each additional $1,000 or firac�oa� thereof, to .and including $100,000 $100,001 .to _.$500,000 . - =:`° S639S0 for f�rst '�100,000 plus� �i.50 for each additional. ' - � = ;. $1,000 - c�r iiac,�ion thereo� to and including $S0p,00p . ,ak�g ,,, �500,00� . t4 �$L,OOO,U00 � ,. . _.. � ,_ � ;:� ,. . � . ��. .: $�039.50 .for,� t#�e:? �rst'.-$500,000 plas $3 for each � addit�onal . , :. . _ .. ., __ . .: . , $1,000 or fraction thereof, to and induding $1,000,0�0 _$1,000,001 and u `� ..__ ._.. T.. � . P 5353950 for the 5rst $1,Opp,ppp plus g2 for each additional $1,OU0 or frac6ioa thereof - � � � ,. w ! � , � . . � - . � . � . ;: . ;: . . . �. . .�: � =,.�a.-� _ ,...:..: :,,.... .r: . : � �,. � � . 1 ` � ' ' �{ . ;�DRIVEWAY ;1.?EPRESSION ESCROW � :; � �< > /�1 (��_�� .. .. , �f € ��8'_^-'� �v��`r+��.�.`�+r'.Vli1�� . . ._.. .. .. . � .. .. Altecnate "A :, Removal . and ,r�eplaoemeat�of curb . � . s .: , ,�� ,$�r onlY �- Driveway width plus 6 feet times ,`$I3.50 , ` �x„-, . ._,:'s . � =�¢��h��,�� ;..�,_ � , . ,. _.Alternate ;"B":� 'j Removal and �i�placement~ of ��curb'�'`�anti� gut.t�'aiid ins�tall a 3 foot wide approach , with;., 6 inch dep� - Driveway �-width•., plus 6 fe�t times S 1 S_75. , . VCRIFICAT[ON OF FOUNDATION Permits for constn�ction wil! be issued a miaimum of 24 hours from the time of application to altow for proper review oC the propos«i stn,cture and of the construction site_ A Certific;ite of Survey of the lot, showing the location of the founciation once it h�t it has t�een constructexi wil! be reyuireci before proceediag with the Craming. �' 1 i "� �; t : ..� ■ai� ■�� I �� ,n 3 � � �� ■■ .. �■ is.� w _ �, I� ��t�i ��t��IRJ �l��■ '�I� , ,�'�� . � �s,;� �� `'1'�1111��11i1'1!'i*1'iI ��I�� I ��I ■�■ ■■■ � �.■. � �■I �■�■.�(��'.�' ►��,�.:�I..�� ii ,.. ��•� �■��„�� ■ '��i� �..��!�� ,� ■_�i�'�� i�� I� ��1�� :�� I��I ■��■ `� -dd 7�� Buildillg � Pj.,jJ��Gr Permit No.: Inspections RESIDENTIAL APPLICATION Received By: � 763-572-3604 Cj�`y OF FRIDLEY Date Rec'c� o 763-502-4977 FAX EF��,-,� DATE � f l � Q� O� YOUR E-MAIL ADDRESS srr�,�DxFSS j�'aSsD �ardt.�.� �,p N� THIS APPWCANT IS: ❑ OWNER ONTR.ACTOR PROPERTY NqME:� �►,t.r,.� ��lca..�� h� QV1��R/ ADDRESS: !� S(� (n � Lo vl a��vp A)� CiTY �' Y��ik �n STA7'E�/`LIP�'�'Z TENANT -�—�—a t a � PHONE: `'�,(�� - S"') 1- 7 n�� CONTRACTOR NAME: -'i- c ru � v�c.�c�,e1,.�- (��u m b��U. :iY.r — SUBMIT A COPY OF STATE LICEN E!t SI �i �v� EXP DATE YOUR STATE LICENSE, BOND AND STATE BOND # EXP DA7'E CERTIFICATE OF ,r�DRESS: r`jC ��`Iktti�� CITY /�i-1n,pVr c� STATE ZIP INSURANCE . PHONE �p � S7.'Z 5T g� [� FAX PERMTT TYPE ��GLE FAMILY � TWO FAMTLY ❑ TOWNHOUSE TYPE OF WORK: ❑ �w �EPLACEMENT DETAILED DESCRIPTION OF WORK 6�p l.u,t.e Lj'Y1/ s�i�o V a ja�� yt�, E,,j�i PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, exciuding the fixtures. (This should reflect only the cost of la6or ) Labor cost under $300 =$15.U0. Labor cost between $300 to $500 = cost of labor x.OS = plus .50 surcharge OR FOR PROJECTS WF�RE LABOR EXCEEDS 5500, FEES ARE BASED ON S 10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIX'TIJRES: (MDiCATE T07AL NUMBER OF EACH BELAV�. MINiMIJM FEE t15.50. BATH S1NK/L.AV FLOOR DRAINS SHOWER _ WATER PIPiNG BATHTUB GAS PTPiNG (NEED CITY LIC) SWIMMING POOL WATER SOFTNER (S35) CLOTHES WASHER KITCHEN SINK WATER CLASET _ BACKFLOW PREV. ($IS) DISHWASHER LAUNDRY TRAY WATER HEATER (S35) FOR IRRIGATION — WATER METER _ OTHER Permit Fee $�_. � Number of fixtures @$10.00 x$10.00 =$ Surchar e .50 Number of fixtwes @$15.00 x$15.00 =$ TOTAL DiJE $/,S^ .� OR Number of fixtures @$35.00 x$35.00 =$ State Surcharge = $ .50 (MINIMLJM $15.50 MINIMUM $15.50 Total = $ THIS LS AN APPLICAI"lON POR A PERMiT-NOT VALID UNTIL PROCESSED I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be iri conformance with the ordinances and codes of the City of Fridley and with the Minnesota Constructian Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all work which requir s review and approval of plans. SIGNATURE OF APPLICAN � PRMT NAME U�-� 6� DATE ZQ d� APPROVED BY DATE %O � City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building BUILDING [nspections RESIDENTIAL APPLICATION 763-572-3604 CITY OF FRIDLEY 763-5�?-4'977 F�X EFFECTIVE 1-I-08 DATE ///—'/ �-a' SITE ADDRESS r ��'O THIS APPLICANTIS- PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE PROPERTY TYPE PERMIT TYPE TYPE OF WORK: DESCRiBE WORK BEMG Dl Permit No.: ��'� � Received By: D�� :�:�v o � YOUR E-MAIL ADDRESS S� J�') L✓t L. �� I��'�� 7 ►f'Q P� . C' G': i) cnvr��o� r��.• ❑ OWNER �NTRACTOR NAME: rit� �1 I!� t� / 6 .�Dt�ss: !Ud''�' Cn Q v�.v�r PHONE: CoI Z� 3�� ' y�/ F�U NAME: — ADDRESS: � %U ��l]VIC11Q � p�UP . PHONE �o .S_ �� 07 G�'� I 3 Z� STATE LICENSE # ZU S� 7LipCj MGLE FAMILY EW CONSTRUCTION ❑ T W CONSTRUCTION ATE�ZIP Sr y32 �STATE/ NLIP�� _F,� c�S1�aoR� 313 EXP DATE � 3 SIZE STORIES ❑ BASEMENT FINISH Cs3'200F , ❑ DRAIN TILE ❑ DECK ❑ SIDING O OTHER ❑ SWIMMING POOL ❑ NEW HOIv� CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELMG ?� �i'e��r c 3 l2ok-oQ ROOFIIVG NUMBER OF SQUARES 19�. 3� GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDIN � Vinyl ❑ Aluminum ❑ Other WINDOWS IN EXISTtNG OPENINGS ❑Yes �No OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES 8c TYPE OF WINDOW TO BE INSTALLED ALL TOTAL JOB VALi Permit Fee Plan Review Fire Surcharge Surchazge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Pazk Fee i Sewer Main Charge � Total Due L7'�QkJSE ONLY �tiOUSE & GARAGE ❑ ,4TTACHED GARAGE O DETACHED GARAGE BASEMENT REMODELING SUBMI'f: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTiON INCLUDING DECKS, pSoffit ApDITIONS. & PORCHES SUBMIT: O Trim 1. Siu Plan/Survey showing the existing structures O Fascia and proposed project. 2. Two sets of conswction plans 3. Energy Calculations LACATION OF WINDOWS NUMBER OF :S ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 UBC FEE SCHEDULE) TION $ '�V�p `:j OCCUPANCY " TYPE � X`�'j�`� See Back Page for Fee Schedule $ 65% of Building Permit Fee $ � .001 times the total job valuation $ o� .0005 x Permit Valuation Minimum $.50 $ s C,�- $5.00 (State Licensed Residential Contractors) $ $1825 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$2l =$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ O•- Make checks payable to: City of Fridle_y Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that 1 understand this is not a permit but only an application for a pertnit and work is not to start without a pern►it on site; that the work will be in accordan w�th the prov in the case of all work which requiros review and approval of plans. SIGNATURE OF APPLICANT ��'l��,ut� PRINT NAME Sr i11d�( ��V.� yl,c,p_.v DATE /��p -��`-` �sr�� APPROVED BY DATE Page 2- Building Residential Application ' � BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to._.�n3c existing b�,il in or �ucture, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein grovided to-wit: VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to a11ow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 � 763-572-3604 Faz: 763-502-4977